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General NPI Number Information
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NPI Number | 1801703921
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Entity Type | Individual
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Provider Name | ANTONIO RHAMES
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Gender | Male
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | ADDRESS: 729 REMINGTON ST,
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City | FORT COLLINS
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State | CO
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Zip | 80525
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Country | US
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Telephone | 970-484-8427
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Fax |
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Provider Business Mailing Address
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Address Line | 2163 CUTTING HORSE DR APT 307
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City | FORT COLLINS
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State | CO
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Zip | 80525-4188
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Country | US
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Telephone | 608-695-0334
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | CO
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